We can assist you with your selection for primary care provider. [parameter=value]&_revinclude=OrganizationAffiliation:primary-organization, GET [base]/Organization? Merced Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. This network contains both primary and specialty care providers to choose from. Language interpreter services are available 24 hours a day, 7 days a week at no cost to the member. Large healthcare providers may achieve CORE Certification. The information in your search results reflects our records at the time of our last update to the search website, which is updated nightly. Select products that are administered by the specified organization. . An Organization refers to a formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. In those situations, CenCal Health can still get you care. Sutter Amador Gender: A doctors sex, either Male or Female. Name: The doctor or hospital that is part of the CCP network. 734-436-0455 Members have the choice to refuse professional interpreters and use adult family members or friends. The online search engine updates nightly based on information entered that day. In an effort to provide CCHP members and providers with useful information to make decisions, CCHP updates provider and facility information within thirty (30) business days after we are notified of a change. Mendocino CCAH Provider Portal - provider.portal.ccah-alliance.org Russian Select products that are owned by the specified organization. Alliance. Select Locations that are part of the specified location. Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022. By entering a hospital name, the accreditation status and quality measures are listed. Health and Wellness Rewards Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. View rating by specialty and compare nearby hospitals. CCHA | Find a Provider - Colorado Community Health Alliance The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. Provider Directory for Members - CenCal Health CCA One Care | CCA Senior Care Options | CCA Medicare Advantage. Hospital information is verified by viewing the information listed on their website. Benefits of CCAH Provider Portal Healthcare Provider Directory | Commonwealth Care Alliance MA Please select a language A Increase font size. Pedodontist Our nationally recognized care model is proven effective in addressing unmet social determinants of health, behavioral health, and medical needs. Select Locations managed by the specified organization. The FHIR server may return the data, but there is no requirement to do so. Select PractitionerRoles available at the specified location. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Select OrganizationAffiliations with the specified role. Armenian CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. [parameter=value]&_include=PractitionerRole:organization, GET [base]/PractitionerRole? Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. This directory is for informational use only. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Search by plan name, specialty, location, or provider name. Napa [parameter=value]&_include=OrganizationAffiliation:participating-organization, GET [base]/OrganizationAffiliation? [parameter=value]&_include=InsurancePlan:owned-by, GET [base]/InsurancePlan?[parameter=value]&_include=InsurancePlan:coverage-area. Nevada Please indicate the name of your practice in the box above. Tehama Select OrganizationAffiliations associated with the specified specialty. The Organization Affiliation resource describes relationships between two or more organizations, including the services one organization provides another, the location(s) where they provide services, the availability of those services, electronic endpoints and other relevant information. [parameter=value]&_revinclude=PractitionerRole:organization, GET [base]/Organization? Alliance Care IHSS Price Transparency Tool. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? CCP checks this information at least every 3 years. ProcessLogoff - provider.portal.ccah-alliance.org Groups: The practice a doctor works in. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? * If your language is not listed, please call the Telephone Service Center at 1-800-322-6384 for free translation services during a dental appointment. Select HealthcareServices available at the specified location. CCAH To set your current location, click the green Use Current Location button. Phone Number: The doctors office or hospital phone number. Llame al 866-610-2273 (TTY 711). Hospital Accreditation: Hospitals gets accredited when they meet quality and safety standards. Humboldt If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. Kern The most current board certification status can be verified at The American Board of Medical Specialties website. Yuba, Specialty: There are more protections for immigrants and their families to use public benefits. For more information, please call the doctors office. Medi-Cal members can also go to the Medi-Cal Rx webpage to find Medi-Cal Rx participating pharmacies. Select PractitionerRoles associated with the specified specialty. Select PractitionerRoles with the specified role. San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. The doctor or hospital gives CCP this information on their application when they join the health plan. If a doctor or hospital makes a change to any of the information below, CCP updates the provider directory within 7 days of learning of the change. Insurance Plan describes a health insurance offering comprised of a list of covered benefits (for example: the product), costs associated with those benefits (for example: the plan) and additional information about the offering, such as who it is owned and administered by, a coverage area, contact information, etc. [parameter=value]&_include=PractitionerRole:service, GET [base]/PractitionerRole? Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. San Mateo 2020 K Street, NW - Suite 660 Washington, D.C. 20006. Orange + Reset font size. Destination Guide: Gunzenhausen (Bavaria, Regierungsbezirk [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? CenCal Health is required by the Department of Health Care Services to meet network adequacy standards. Dental Clinics Serving Medi-Cal Members. This makes sure that Medi-Cal members have access to covered services. Provider Directory - Central California Alliance for Health Nurse Advice Line Contra Costa Health (CCH) has been notified by the Martinez Refining Company of planned maintenance work at its facility that will cause flaring visible from Interstate 680 and Marina Vista Ave from Friday through Monday, March 6th. Alliance Provider Portal CCHP discourages the use of family members, friends or minors to interpret or translate materials. . Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. Registered Dental Hygienists in Alternative Practice. View Urgent Visit Access Offices in Merced County. If you want to check to see if your doctor is board certified go to CertificationMatters.org, DoctorsThatDo.org, or call 1-866-ASK-ABMS (275-2267). To verify the current status of a hospital visit jointcommission.org. Select health insurance provider networks available in a region described by the specified location. Select Practitioners with the specified given name. Select insurance plans of the specified type. If you cannot find a dentist in your area who is accepting new patients, please contact the Medi-Cal Telephone Service Center for additional help at 1-800-322-6384. San Diego , California PDF Medi-Cal Merced Provider Directory - ccah-alliance.org To find a pharmacy, use MedImpact's online Pharmacy Directory using the link below. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Siskiyou Hospital Quality: The hospitals performance rating. Modoc A Reset font size. Medical group: This information is collected from the group at the time they initially join the network. Frequently Asked Questions, GRIEVANCE FORM Some doctors might have all the patients they can fit in, while still giving you the best care. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Hospitals: The network hospitals a doctor can see their patients in. Farsi Please indicate below any changes to the directory listing for the practice listed above. Board Certifications: A doctor gets a certificate after completing extra training in their specialty. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. You can get these documents for free in other formats, such as large print, braille, or audio. Laotian You can also use the filters to search for more specific information. Our directories are printed by county. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. Thai Providers in the CCRMC network are certified in languages spoken in addition to English. SHALL: An absolute requirement for all implementations. Golden Road 365 Detox - Transform Your Health in 21 Days Documents will be mailed within five (5) business days of receiving request. [parameter=value]&_include=OrganizationAffiliation:primary-organization, GET [base]/OrganizationAffiliation? For further assistance, members can contact Member Services at 1-877-661-6230 option 2 and providers can access interpreter services at 1-877-800-7423 option 4 or directly at 1-866-874-3972. For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. Specialty: A provider's specialty is identified when they join the health plan network. Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. We help you extend your reach into your patients homes and communities through care coordination, behavioral health, and long-term services. Tuolumne It is an in-depth medical detoxification and educational program designed to teach you the how and why behind every step you take. [parameter=value]&_revinclude=PractitionerRole:service, GET [base]/HealthcareService?[parameter=value]&_revinclude=OrganizationAffiliation:service. 2023 - Community Care Plan - Provider Directory - Updated: 03/05/2023. Medi-Cal Dental Provider Directory Search. CCHP does not verify these skills. Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. SHOULD: A best practice or recommendation for the implementation. Sacramento The resource may be used to encompass a variety of services covering the entire health care spectrum, including promotion, prevention, diagnostics, hospital and ambulatory care, home care, long-term care and other health-related and community services. Contra Costa CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. CAQH CORE is the author of the final set of ACA-mandated operating rules for remaining HIPAA transactions, which include healthcare claims, enrollment and disenrollment in a health plan, premium payments, prior authorization and claims attachments. Santa Cruz Alameda View Urgent Visit Access Offices in Monterey County. If you are a solo practitioner, enter your name in the box above. Must contain at least 1 character from each of the following four groups: Uppercase letters Lowercase letters Numbers Special Characters May not contain your username May not be any of your last 10 passwords Please contact the Provider Services at (831) 430-5518 with any questions. They will be able to assist you in making the best health plan choice for you. Plumas InsureKidsNow Search. CCHP Medi-Cal members should contact the DHCS Medi-Cal Rx Help Line for any pharmacy questions (1-800-977-2273, TTY 1-800-430-7077). Health (Just Now) The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. [parameter=value]&_include=PractitionerRole:network, Nurse Advice Line Glenn 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. Taiwanese Facilities may also notify us at any time regarding changes to their accreditation status. Spanish You can also access the Kaiser online directory. English Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Our Provider and Pharmacy Directory make it easy to find the care you need. Provider Directory :: Health Plan :: Contra Costa Health Services In those situations, CenCal Health can still get you care. Please select a specialty Pharmacy: CCHP Commercial members can refer to the online search engine for pharmacies but also can access all Walgreens and Rite Aid locations. Oral Pathologist Specialty is verified when the practitioner joins the network and at the time of recredentialing through state licensing and board certification. If a doctor or hospital makes a change to any of the information below, CCP updates the provider directory within 7 days of learning of the change. Implements RESTful behaviors according to the FHIR specification. Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type MAY: An optional inclusion for the implementation; not a requirement. Colusa Imperial Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. Use the Provider Directory Information Update Form to alert us to any changes to your provider information. Member Handbook Provider Directory - Central California Alliance for Health The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Yolo We can help you understand and assist you with obtaining referrals to see specialists, explain when referrals are not needed, and help you find a specialist in your area. Select Locations with the specified state address. Facility: CCHP updates facility information daily as changes are reported by the facility. Alliance Care IHSS Price Transparency Tool. Most hospitals in Contra Costa County and the immediate surrounding area are participants. Frequently Asked Questions, GRIEVANCE FORM [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Hours: When the office or hospital is open to see patients. Select Organizations that are part of the specified organization. Lake GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? Operating rule development for these transactions is currently underway. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at providerrelations@cchealth.org or by calling 1-877-800-7423 option 6. Health and Wellness Rewards Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. San Luis Obispo We partner with a broad network of providers, dentists, pharmacies, and other healthcare facilities. Riverside Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Call 866-610-2273 (TTY 711). [parameter=value]&_include=Location:partof, GET [base]/Location? HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. Please select a county Hindi Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products. Select HealthcareServices provided by the specified organization. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Solano Then click the magenta Get Location button. The DaVinci PDEX Plan-Net OrganizationAffiliation profile is based on the core FHIR OrganizationAffiliation resource. More than 130 participating organizations representing healthcare providers, health plans, government agencies and the organizations setting the standards for healthcare and data exchange are part of the CAQH CORE multi-stakeholder collaboration. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? The Provider Directory API accesses the Alliance FHIR server portion of the Provider and Pharmacy Directories. Member Handbook ccah provider directory Find-A-Dentist. As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. PDF Monterey and Santa Cruz Medi-Cal Provider Directory Gua de Proveedores Please select the county where you live. Results are as of 12/1/2020 unless otherwise noted. Alliance members must use a pharmacy that works with MedImpact. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? Select products with the specified identifier. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Please fill out this form to request a printed Provider and Pharmacy Directory and well mail you a directory for your county. Step 3a: Cantonese. To report any errors, click on the link below. GET [base]/Organization/[id]/_history/vid, GET [base]/Organization? CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide mental health services. A Increase font size. Ventura Providers must document this choice in the member's medical record. Fresno Prosthodontist New for 2023: CCA Medicare Premier will be available in Middlesex, Suffolk, Norfolk, and Worcester Counties. Online Provider Directory http://www.ccah-alliance.org/providerdirectory.html Click on Provider Directory Search Effective January 2015 CENTRAL CALIFORNIA ALLIANCE FOR HEALTH Provider Directory / Gua de Proveedores / Phau Ntawv Teev Cov Kws Khomob A.2 Primary Care Physicians/ Doctores de Cuidado Primario/ Cov Thawj Kws Khomob Skilled Nursing Facility/Intermediate Care Facilities: within 5 business days of request. This certificate expires, so CCP checks it at least every 3 years. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? GET [base]/HealthcareService/[id]/_history/vid, GET [base]/HealthcareService? If you are a member or potential member it is important for you to understand how our two networks are organized. To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. [parameter=value]&_include=InsurancePlan:administered-by, GET [base]/InsurancePlan? Select Organizations of the specified type. We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Periodontist Hmong Endodontist San Bernardino This information is subject to change without notice. This is not a guarantee they will be available to accept additional patients at the time you contact them. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. Select OrganizationAffiliations providing the specified service. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Select OrganizationAffiliations available at the specified location. Medi-Cal Dental Dental Portal - California